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HomeMy WebLinkAbout2009-00445 - roofing CITY OF ORONO PERMIT NO.: 2009-00445 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/30/2009 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1860 WEST FARM RD PIN : 27-118-23-43-0018 LEGAL DESC : THE FARM AT LONG LAKE : LOT 019 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 4,799.00 NOTE: RE-ROOF REPAIR STORM DAMAGE APPLICANT PERMIT FEE SCHEDULE 118.00 BOULDER CREEK BUILDERS STATE SURCHARGE(VALUATION) 2.40 11490 HANSON BOULEVARD COON RAPIDS,MN 55433- MAIL-IN FEE 2.00 (763)450-0730 TOTAL 122.40 Minnesota State License#: 20385249 OWNER SHULL,ELIZABETH MORRISON&LAUNE 1860 WEST FARM RD LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. flo.a2 cam, l / l l Applicant Permitee Signature Date Issued By nature 4i Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO is. Jul-28-2009 03:O0pm From-CITY OF ORONO +9522494616 T-678 P.002/002 F-707 City'of Orono Building Permit Application for Internal Wank (windows, doors, siding, re-roof, etc.) �� Mellin°Andress: Permit number: lTa/q--40/4r� D „ Q PO Box liki Crystal Bay,MN 553230066 Data r000ivctd: 7 0 9 `` Received by: 4, ' {, �ti Spoor Addr000: yn t, e;:; ,` 2760 Kelley Partway Plan raviow tae:: Ct 1.!4;01/ Orono,MN MS3 Neln: 932-249-4800 Fax' ,56Z-242-46.10yr�vw_c�otern mn�,¢ Toldl Fea, ��v20. (AC) OQ This application Form mutt be oomplatod In MI and aA required information must be submitted. •' • •' 4 Inuurrrplete eppllcatlons will be returned. (Phase prior) GENERAL INFORMATION: Job Site Address: �3: v Will tnls be a Parade of Horner, Romodolers Showcase Home or other Display "orae? Yes 0 No lf you,a apocie/even/permit Is requlrad with Pulioa Dvyeitalon!and CO Council approve,co Paid prior tome event shuti'le pax awiviGia will be raqulrod unToti applicant damonstrataa sufPiokr t omaltm parking;r tlunderbro. Nen-perrnraea events will not be allowed, CONTRACTOR/APPLICANT INF9RMATIONy- Nome: •. \ &5 V,'K.ee '`_ .Q�\SS Stale License i* W ZNpiratlon Date: ,'. = �-' Phone; i'Z S:Vii ,� n ce _ cell Mailing Address: M��� .�► , ► .'. NIN ' ZI :.'�_.14144v. Contact Felson: _�„ Abbl cant -. onirac•7. I Hurnt:uwner Email and/or Fax: t-- L„.67, - .1,`--S1-. - �Z {CircHOno} PROPERTY OWNER INFORMATION: Name; Lt► • _ . . s' ^� _C D Phones(day): ` ':1 ��Fi� Address: . •l) 4_. ‘.-51.c' C ': '�_Cl. , ZIP: 6?-4.\ Email and/or Fes( PROJECT INFORrtilATIoN: -type of Project: Any earth movement may rrquirc • Maven review&permits ❑Oeorts) I:Remodel ❑water Damage Mlnnelmeha CI coh WatorsntnJ District(MOwD) [l Windows) Repair Storm Carnage 18202 Mlnndtonka Blvd 777777������ Deer haven,MN 553E41 CI Sidmg 0 Rasturdtion ❑Other:(specify) none:one: B82-a/1-0500 Fax: 062471-0682 Rmeruuf • _ ❑•Fire Qame0a wvnu.rni=aooar o k.° Overall Pro ect Duscriution: Estimated Construction Valuation of Project(uxduding_land) $ t ci• APPLUCANLACItNOWLEoGEMFNT:_ • Agreee lo provido all Information required or roqu03100 by the t3ullding Deportment; • Cartifie3 pent the infvrnaigvn dutplled Is true and correct to the best of hI5lher knowedgo. Tho applicant recognises that thoy are aulaiy reiviitill.)10 for submlttlnp a complere application being aware that upon rair.tre to do eel,IN staff hoc no altornotiva bum 10 ralect 1t until I;Is=opiate: ■ Born©or all of the information that you are naked to provide on this upplivatlun lu olassIfed by state law as either private or confldertlel. Private delta ie intemtatlen which yceeerally cannot ukf Chien to the puellc DUI can be piven to the sub)ecd or IN claim. Confdantiai data I3 information which ualieratly cannot be piven to eiUi r me public or the suplect or Inc)data, Qur pvrpuse and Intended use at this Information Is to annually update our records and records of other governmental agencies ru u re b w. qtt mown sunnl r�r e Information,Rea applioarlen may not be issuod, Applicant's Slinature: ele../C—(19""' Data: / —ap 9 Le*updated: 050-zoo , ,(Q,z (9),, —7 , 2,8 , v5s , City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: O ,O k. PO Box 66 Crystal Bay, MN 55323-0066 Date received: ,. , Received by: a , i ° y, Street Address: 14,4,I ,�>1 tis 2750 Kelley Parkway Plan review fee: 9kES8og,�,t,' Orono, MN 55356 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: VciS,C, �-�N`j\- .,-s\\,\ QS, Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: vac C\ U\L6.FL`� State License# . , r ' Expiration Date: '3_ '2j 1 - ` Phone: '--10' -- , L,r�' 0 (office) (cell) Mailing Address: \\-\.,c--,\ .) � Cy1 t j\`,C� Cit : ' -)--etdS ZIP:J -)t(J- Contact Person: - •-,\ \��.V� Applicant i ontrac o / Homeowner (Circle One) Email and/or Fax: 11�"2-., _ \\'tel. C-1)3.a_ PROPERTY OWNER INFORMATION: Name: -sC \ CQ\ \ �� t iPs's\,'1 \\\C1..0& Phone (day): Address: \c4 a `,3 ..\�M \ t., City:( O c ZIP: `V -.-4-\ra Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) Repair Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 XRe-roof ❑ Fire Damage I www.minnehahacreek.org Overall Project Description: OG Estimated Construction Valuation of Project(excluding land) $ �\y'`lq�O . APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. Applicant's Signature: /CLCA- KL9- Date: 11 -9 —Q9 • Last Updated: 05-04-2009 e- iig` CPe 1 DATE TIME CITY OF ORONO CALLED IN r" ► S� INSPECTION NOTICE SCHEDULED age efPjrl PERMIT NO. 1 6COMPLETED ADDRESS I g COO W • Fa-(1/1 OWNER CONTR. i e___ re ' TELEPHONE NO. 7L03- 49) ^ CY" 3c DESCRIPTION 1'— jr6 ! e Of>f- ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE El TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP CC 14.1 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL �J� ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES J( NO o COMMENTS: ////���\ cc W a cc O cc O U- W CC W W CC O 144 U ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY • BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor o t.sit-: I Inspector. ' // 'v White Copy/Inspector's File Canary Copy/Site Notice